Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

NPI: 1013952597 · SAN DIEGO, CA 92113 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ROMAN, RICARDO controls 20+ related entities in our dataset. Read more

$93.82M
Total Medicaid Paid
799,807
Total Claims
675,158
Beneficiaries
135
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialROMAN, RICARDO (CFO)
NPI Enumeration Date06/18/2006

Related Entities

Other providers sharing the same authorized official: ROMAN, RICARDO

ProviderCityStateTotal Paid
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $152.45M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $102.80M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC. EL CAJON CA $97.05M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $95.31M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $69.44M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $66.56M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC CHULA VISTA CA $47.86M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SPRING VALLEY CA $47.71M
FAMILY HEALTH CENTERS OF SAN DIEGO INC NATIONAL CITY CA $40.79M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC EL CAJON CA $26.36M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $23.70M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $23.26M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $21.45M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC LEMON GROVE CA $20.82M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $19.92M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $8.85M
FAMILY HEALTH CENTERS OF SAN DIEGO INC SAN DIEGO CA $8.04M
FAMILY HEALTH CENTERS OF SAN DIEGO SAN DIEGO CA $7.71M
FAMILY HEALTH CENTERS OF SAN DIEGO, INC SAN DIEGO CA $7.28M
FAMILY HEALTH CENTERS OF SAN DIEGO INC CHULA VISTA CA $3.79M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,291 $6.35M
2019 33,889 $6.87M
2020 85,259 $10.88M
2021 120,207 $13.57M
2022 161,317 $14.71M
2023 231,197 $20.60M
2024 143,647 $20.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 308,392 223,586 $91.50M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 68,216 65,130 $717K
90834 Psychotherapy, 45 minutes with patient 98,877 79,844 $449K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,829 46,851 $344K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 515 398 $117K
80061 Lipid panel 5,444 5,438 $57K
97803 2,370 2,350 $52K
90832 Psychotherapy, 30 minutes with patient 36,594 32,931 $46K
80053 Comprehensive metabolic panel 5,593 5,577 $45K
84443 Thyroid stimulating hormone (TSH) 3,358 3,354 $44K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 179 153 $42K
90791 Psychiatric diagnostic evaluation 25,309 25,080 $35K
83036 Hemoglobin; glycosylated (A1C) 4,521 4,516 $35K
86480 549 549 $28K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,361 1,361 $25K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 4,110 4,095 $24K
90792 Psychiatric diagnostic evaluation with medical services 10,343 10,324 $22K
82274 1,537 1,535 $20K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 673 672 $18K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 668 668 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,566 3,506 $14K
87536 194 193 $13K
92250 508 508 $9K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 245 206 $8K
86803 701 701 $8K
97802 238 237 $6K
86704 565 565 $6K
H1003 Prenatal care, at-risk enhanced service; education 432 343 $6K
86706 629 629 $6K
87428 138 138 $5K
96156 393 350 $5K
90686 342 342 $5K
80048 Basic metabolic panel (calcium, ionized) 655 651 $5K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 67 67 $4K
86592 1,285 1,285 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 136 120 $4K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 219 181 $4K
82043 727 727 $4K
82570 785 785 $3K
93922 117 117 $3K
83550 440 440 $3K
87086 Culture, bacterial; quantitative colony count, urine 471 468 $3K
90677 12 12 $3K
83540 507 507 $3K
99215 Prolong outpt/office vis 1,267 1,242 $3K
84439 300 299 $2K
99401 230 227 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument 486 486 $2K
81025 780 769 $2K
84460 474 473 $2K
84450 485 484 $2K
81002 1,064 1,003 $2K
82728 527 527 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 98 55 $2K
90837 Psychotherapy, 53 minutes with patient 3,298 3,030 $2K
92551 133 133 $2K
H0043 Supported housing, per diem 203 111 $2K
81015 598 594 $1K
82951 118 114 $1K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 37 37 $1K
90756 52 52 $1K
93000 36 36 $1K
H1001 Prenatal care, at-risk enhanced service; antepartum management 18 14 $1K
90472 Immunization administration, each additional vaccine (list separately) 111 111 $899.10
86140 192 190 $887.77
87210 240 239 $870.61
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $761.04
84153 45 45 $719.24
85651 269 266 $637.45
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,720 1,714 $595.66
36415 Collection of venous blood by venipuncture 6,804 6,660 $477.00
87522 Neg quan hep c or qual rna 13 13 $454.51
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 3,308 3,144 $420.05
85018 153 152 $320.76
81003 172 171 $316.46
85610 80 75 $279.20
98960 2,221 1,747 $193.67
87070 49 49 $165.22
99406 68 66 $150.00
86708 12 12 $132.12
87340 24 24 $109.44
83735 16 16 $95.36
82947 29 29 $89.10
H0001 Alcohol and/or drug assessment 265 132 $75.00
99000 3,425 3,299 $43.56
80354 91 90 $21.84
96127 14,167 11,931 $20.46
99173 142 142 $7.08
3078F 41,097 39,559 $0.01
3074F 48,120 46,254 $0.01
3008F 5,568 5,404 $0.01
90785 1,174 1,142 $0.00
96160 341 340 $0.00
T1013 Sign language or oral interpretive services, per 15 minutes 577 554 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 57 57 $0.00
X4110 1,515 715 $0.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 12 12 $0.00
98940 28 27 $0.00
X3904 323 177 $0.00
V2020 Frames, purchases 12 12 $0.00
H2016 Comprehensive community support services, per diem 46 33 $0.00
X4301 47 47 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 27 26 $0.00
3077F 123 117 $0.00
59425 84 84 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 30 30 $0.00
92015 Determination of refractive state 13 13 $0.00
97530 Therapeutic activities, direct patient contact, each 15 minutes 41 13 $0.00
91313 12 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 64 63 $0.00
85007 15 15 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 18 16 $0.00
1159F 12 12 $0.00
1160F 12 12 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 38 13 $0.00
90836 21 21 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 14 13 $0.00
97164 13 13 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,246 2,215 $0.00
3079F 4,615 4,466 $0.00
G9012 Other specified case management service not elsewhere classified 3,327 2,267 $0.00
X4304 835 368 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 647 417 $0.00
99402 81 80 $0.00
3075F 639 624 $0.00
2023F 36 36 $0.00
97139 49 41 $0.00
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 24 14 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 2,807 1,919 $0.00
X3924 37 32 $0.00
3044F 251 251 $0.00
99417 Prolong home eval add 15m 73 73 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 12 12 $0.00
X4100 15 15 $0.00
X4102 15 15 $0.00